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Tuesday, November 18, 2008



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Long-Term Care - Behavior/Psychoactive Drug Monitoring
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Forms
CP1109

Behavioral Symptoms RAP Review

CP1117

Psychotropic Drug Use RAP Review

CP1230

Mood & Behavior 30-Day Observation Form

CP1231

Mood & Behaviors Monitoring Form

MP5480

Geriatric Depression Scale

MP5481

Short Portable Mental Status Questionnaire

MP5540

Risk - Benefit Acknowledgement Form

MP5562

Antipsychotic Medication Quarterly Evaluation/AIMS

MP5563

Consent for Use of Psychoactive Medications

MP5591

Medication Side Effects/Adverse Reactions Form

MP5671

Dyskinesia Identification System Scale (DISCUS)

MP5931

Unnecessary Medication/Quality Assurance Evaluation Sheet

MP5941

Psychoactive Medication Monthly Flow Record

MP5942

Behavior Monitoring/Intervention Flow Record

MP5945

Behavior/Intervention Monthly Flow Record

MP5946

Non-Pharmacologic Intervention Record for Targeted Behavioral Symptoms

MP5949

Abnormal Involuntary Movement Scale (AIMS)

MP5951

Antipsychotic Medication Quality Assurance Sheet

WB-23

Anti-Anxiety Side Effect Label

WB-24

Anti-Depressant Side Effect Label

WB-25

Anti-Psychotic Side Effect Label

WB-26

Sedative / Hypnotic Side Effect Label

WB-27

Lithium Side Effect Label

WB-28

Methylphenidate Side Effect Label

WB-29

Anticonvulsants Side Effect Label

WB-36

Atypical Antipsychotics Side Effect Label

Publications
MP5501N

Unnecessary Medications in the Elderly

Reference Cards
MP5944

Psychoactive Medication Use Reference Card

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